| Living Loved Center | |
|
169 Dauphin St Ste 304 Mobile AL 36602-3271 | |
| (251) 415-6220 | |
| Not Available |
| Full Name | Living Loved Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 169 Dauphin St Ste 304, Mobile, Alabama |
| Authorized Official Name and Position | Meredith Simmerman (OWNER) |
| Authorized Official Contact | 2514166220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Loved Center 11708 Jeff Hamilton Rd Mobile AL 36695-8084 Ph: () - | Living Loved Center 169 Dauphin St Ste 304 Mobile AL 36602-3271 Ph: (251) 415-6220 |
| NPI Number | 1467928572 |
|---|---|
| Provider Enumeration Date | 10/16/2018 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467928572 | NPI | - | NPPES |
| 300013126 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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